Claims Management

• Review your TPA/Carrier contract and negotiate fees

and changes as well as a complete marketing and analysis of your

TPA provider

• Audit the TPA claims files to ensure best practices and

your customized claims protocols are being followed

• Experience Modification Factor Analysis

• Evaluate losses and trends to coordinate loss control and safety

audits to focus on loss drivers

• Coordinate customized claim service deliver by carrier and third

party administrators

• Participate in claim reviews, stewardship meetings and selected

mediations

• Advocacy on coverage questions and reservation of rights to

ensure the broadest client coverage

• Proactive claims services that encourage cost-effective solutions,

team engagement and outcome measurement

• Outsourced client-defined claims management services